朱雅文 许博文 赵硕琪 郭锦晨 吴凡

【摘 要】 带下病是一类因感受湿邪等导致任带损伤、带下明显增加或减少、伴或不伴有全身症状的常见妇科疾病。明末著名妇科大家傅山对妇科带下病有独特的认识，并在其所著《傅青主女科》中对其进行了详细论述。傅氏认为带下多因外感六淫或脏腑失调引起湿邪损伤带脉所致，治疗上应多从肝脾从手，且用药平和，无一峻品。傅氏有关带下思想不仅继承了前人的经验，也体现了自己的辨治特色。笔者通过研究《傅青主女科·带下篇》所论及证治思想、处方用药，并对其进行详细归纳总结，剖析傅氏论治带下的核心思想及治则治法，希冀丰富中医对带下病临床诊治的有关理论依据。

【关键词】 傅青主;带下;《傅青主女科》;辨治特色

【中图分类号】R271.13 【文献标志码】 A 【文章编号】1007-8517（2021）15-0008-03

Abstract：Leucorrhea is a common gynecological disease caused by exogenous dampness and other factors， with or without systemic symptoms. Fu Shan， a famous gynecologist in the late Ming Dynasty， had a unique understanding of gynecological leucorrhea， and discussed it in detail in his book Fu Qing Zhu NV Ke. Fu believes that the treatment of Dai Xia is mainly due to the dampness and dampness caused by exogenous pathogenic factors or visceral imbalance. The treatment is mainly from the liver and spleen and from the hands. The medication is peaceful and there is no severe product. Fus thought of leading down not only inherits the experience of predecessors， but also embodies his own characteristics of differentiation and treatment. The author studied the thought of syndrome and treatment， prescription and drug use in Fu Qingzhus gynecology · Dai II， and summarized it in detail， analyzed the core thought and treatment principles and methods of Fus treatment， in order to enrich the theoretical basis of clinical diagnosis and treatment of leucorrhea in traditional Chinese medicine.

Keywords：Fu Qingzhu; Dai Xia; Fu Qingzhu Female Branch; Diagnosis and Treatment Characteristics

傅青主（1607-1685）名山，別字公它，山西阳曲（今太原市）人，是明末清初著名的医学家。傅氏在多门学课均有较高的学术造诣，如内、外、妇、儿等，其中以妇科最为擅长。其传世著作较多，包括《傅青主女科》、《洞天奥旨》、《青囊秘诀》、《霜红龛集》等书，其中以《傅青主女科》（本文简称《女科》）较为著名，堪称中医妇科学之经典。书中对妇女常见病症如经、带、胎、产等多有独特见解、论法新颖，在治疗上制方精良、方药明确，指导了诸多临床妇科疾病的证治。书中带下一篇，傅氏将其位列诸篇之首，并对不同原因导致的带下做了详细辨证论治，可见傅氏对带下的重视。笔者通过对该书带下篇深入的研读及思考，将傅氏论治带下思想做浅析如下。……